"VFS": tilmaamaha loo isticmaalo. Analogs, dib u eegista iyo sababo "VFS"

Kiniiniga "VFS" waa kooxda heerka koowaad ee wakiilada antiarrhythmic. daroogada A awood u xanibeen channels sodium in xuubka of cardiomyocytes. Waxaa dhirfinaya gaabis intraventricular iyo tabinta atrioventricular koobaya muddo functional ah oo waxtar leh madax adkaadeen in atria ah, block laan xidhmo, AV-Guntin iyo macdantaa Purkinje. Waxaa loola jeedaa gabi ahaanba saameyn ah kuma laha muddada ku-QT bareeg, inta jeer ee foosha. Maqnaanshaha daliilka hore ee shaqada wadnaha ku filnayn, daroogada "VFS" (diiwaanka ku jira macluumaad sida) saameyn ah kuma laha contractility myocardial. Waxaa wax saameyn ah kuma conductivity ee jihada anterograde Guntin ku atrioventricular. Wakiilka ma laha saamayn hypotensive loo kasin. In dhaqanka aan la calaamadeeyay saamayn inotropic. Marka la helo daawada aan dhaxalsiiyeen in automaticity Guntin Dalqada wadnaha ku. Waxay leedahay maroojiska, daawada suuxinta, iyo tallaabo anticholinergic dhexdhexaad ah lahayn degree muujinta bukaan. Waxay leedahay koronarorasshiryayuschee yar, guryaha ku dejinaysaa. Saamaynta ay calaamaddu afka afartan ama lixdan daqiiqo. Waxaa gaadho hawlaha ugu badnaan 80 daqiiqo ka dib. Muddada uu garoomada ka daweyn - by 8 saacadood.

Pharmacokinetics xaaladaha guud

bioavailability ee qiyaastii 40%. Daawada waxaa metabolized beerka iyo waa ay awoodaan in ay dhex gasho BBB ah. Digo ee daroogada dhacdaa kaadida. Marka xadgudubyada muddada hawl kelyaha ee Digo waxaa kordhay 2-3 jeer.

Maxay ka dhigan tahay tilmaamo "VFS" loo isticmaalo?

Daawada waxaa lagu tilmaamay for ventricular iyo extrasystoles supraventricular, tachycardia paroxysmal iyo nooca (ma lesions qalbiga dabiiciga ah organic iyo syndrome WPW), flutter xogleh iyo paroxysms wadne.

mudada kacmaha

Diyaarinta "VFS" diiwaanka ku talineysa qiyaas ah - 25 mg 1 mar 8 saacadood. Maqnaanshaha medicament natiijada daweynta express qaaday 6 saac oo kasta. Xaaladaha qaarkood ogol yahay in ay ku kici dose laba jeer hal (50 mg). bareeg waqtiga ayaa kiiskan waa 6-8 saacadood.

Maalintii ugu badan wax ka badan 300 mg ogol yahay. Muddada daaweynta iyo dantiisa circuit saxo helo takhasus ballamay. Medicine cabniinka cuntada ka dib. Pulverize ama burburin aalad lama ogola.

Medicament "VFS": waxyeellooyin

Subject dhakhtarka ee dawooyinka dulqaadan by bukaanka da'da ah oo dhan waa ku filan. Si kastaba ha ahaatee, waxaa suuro gal ah waxyeello ka soo gaartey oo ku saleysan daaweynta daawada "VFS". Dhibaatooyinka ay keento sidaas waxaa laga yaabaa in darajo kala duwan ee darnaanta. Wakiilka cadhaysiinina kartaa rabshooyin in hawlaha nidaamka neerfaha durugsan iyo bartamaha. Gaar ahaan, waxaa jira wareer, diplopia, ataxia. Waxaa ka mid ah cawaaqib xun ee saamaynta daroogada on khubarada nidaamka wadnaha soco xadgudubyada cad ee tabinta intraventricular iyo atrioventricular, horumarinta tachycardia sanka (la daaweyn muddada-dheer). daliilka Dhibaatada ka mid saamayn arrhythmogenic, dheer ee QP-duwan, ballaarinta isbedelka QRS-adag oo kale in hannaanka ECG. On ku salaysan daaweynta daawada "VFS" (diiwaanka ka digay ku saabsan) muuqataa casaan maqaarka, xanuun madaxa ama dareen ah u tiiraanyooday. Bukaanjiifka qaar dareen xaasaasi ah (finan ama maqaarka cuncun). Waxaa ku jira macluumaad ku saabsan saamaynta xun ee daawo "VFS" diiwaanka. Reviews xirfadlayaal ah oo ku saabsan hab karo, guud ahaan, positive. Si kastaba ha ahaatee, la siiyo halista ah ee qaar ka mid ah cawaaqib xun ee daroogada waxaa lagu fuliyaa iyada oo ay kormeerayaan dhow ladan.
Haddii ay dhacdo in dhibaatooyin iyo sii daraysa waa in isla markiiba soo booqan takhasus u leh. Xaaladdan oo kale, dhakhtarku wuxuu dooran karaa halkii ka dhigan tahay "VFS" daawooyin la mid ah.

Marka qorin daawo?

Sababo ka mid lama filaan ah cardiogenic, block atrioventricular wareega saddexaad iyo kan labaad (in maqnaanshaha garaaca wadnaha aan dabiici ahayn darawalka). Lama oggola in aad cabto oo dawo loo waayo, hypertension in muddada adag (cadaadis systolic ka yar 90 mm / Hg.), Hypertrophy ee myocardium ee ventricle bidix kaga hadlay. daroogo mamnuuc cardiosclerosis post-Wadnaxanuun ah. Daawada waxaa laguma talinayo go'doominta lugta midig laan xidhmo block (marka la xanuunada laanta dhinaca bidix isku dhafan), shaqada wadnaha chronic meeldhexaad ah ama daran. Ahaan uu u daawada ilaa 18 sano (sabab u ah xaqiiqada ah in aan la aasaasay ammaanka iyo waxtarka of wakiilada), dulqaad fructose. Lama oggola in la qaato daawada loogu talagalay dadka qaba syndrome ee galactose oo yaraada resorption / glucose, uurka, isomaltase deficit / sucrose. Laguma talinayo daroogada diidmo in qaybaha u. Haddii aad rabto in aad ku qaataan therapy xanaanada bukaanka, aad rabto in aad joojiso nuujinta.

Marka aad u baahan tahay sixitaanka qiyaas?

Mararka qaarkood waxaa loo baahan yahay in la beddelo qalab "VFS" helaya circuit. Tilmaamaha, comments ka khubarada ku jira macluumaad in la yareeyo xaddiga daroogada ama kordhin bareeg u dhexeeya qaadasho lagu taliyo kartaa block atrioventricular ee heerka ugu horreeya, in xanuunada tabinta intraventricular, bradycardia. Uga dig ka hoggaansamaan gulukooma xagal-xidho, xanuunada wareegga dhiigga (durugsan) hypertrophy nooca culus ee unugyada prostate. wareeggeedii Correction loo baahan yahay oo ku saleysan shiid elektrolytka badala conductivity in fiiloyin Purkinje, Go'doominta of mid ka mid ah lugaha ee block laan xidhmada. Digniin loo baahan yahay marka la helo daawooyin kale isku mar antiritmicheskih la daawada "VFS". Reviews khubaro badan waa mid aad u adag oo ku saabsan arrinta isbeddel ah ee qiyaasta la buriyay.

Wixii macluumaad dheeraad ah,

Ka hor inta aadan bilaabin daaweynta ku tiraa xanuunada biyaha iyo dheelitirka elektrolytka ee geedi socodka la helo daawada loo baahan yahay si loo hubiyo in si joogto ah iyo si taxaddar leh gacanta ku dul. marinkii kicinta wadnaha waxaa laga yaabaa in la kordhiyo in bukaanka qaba wadna (acute), wadnaha oo shaqadiisa gaba, ama aad qabto pacemaker macmal ah. Haddii ay dhacdo in wareer, araga, madax xanuun talinayaa si loo yareeyo qiyaasta. Marka tachycardia sanka ku saleysan a daroogada dhaweynta beta-blockers dheer loo qoondeeyay hadba sida loogu baahdo. diyaarinta Kuwan waxaa lagula talinayaa in qaadasho yar yahay. On ku salaysan daaweynta waa inay ka taxadaraan marka ay waxqabadyada hawlaha aadka u khatarta ah in u baahan yihiin dareenka iyo ka-fiirsashada degdeg ah ama dareen-celin.

badinta

Sababo la xaqiiqada ah in daroogada ayaa ballaadhkiisuna hoose ee dhaqdhaqaaqa-daweynta, sarkhaan daran ayaa dhici kartaa si fudud ku filan. halista Gaar sare ee lagu sumoobo helitaanka daawooyinka kale antiarrhythmic. In xad dhaafka calaamadeeyay PR- muruqa iyo QT-dura, amplitudes kordhin T-ruxruxo ballaarinta QRS-adag. Against asalka sarkhaan baxdo asystole, bradycardia, hoos u contractility ee myocardium ah. Bukaanka ayaa waxaa sidoo kale lagu arkay sinotrialnaya go'doominta, yaraynta cadaadiska kaga hadlay, cudurada habka dheefshiidka. Sarkhaan waxaa ku weheliyay tachycardia paroxysmal polymorphic ventricular, aragga indhaha oo isku darsamay, wareer, xanuun madaxa. Haddii ay dhacdo in daaweyn badinta astaamaha lagu muujiyay. Daaweynta tachycardia ventricular waxaa lagu fuliyaa iyadoo la isticmaalayo daroogada antiarrhythmic category aan A iyo waxaan C Expansion QRS-adag, hypotension iyo bradycardia reebay carbonate sodium hydrogen.

Dhexgalka medicaments kale

Marka wada qaaday inducers of microsomal cagaarshowga ensaymes waxtarka daawada "VFS" hoos. Taasi waxay keeneysaa khatar ah ee waxyeello sun. Marka la helo dawooyinka antiarrhythmic fasalada kale kordhay suurtagalnimada of horumarinta saamayn arrhythmogenic. qalab ayaa sidoo kale kor u dhaqdhaqaaqa ee dabcineyso muruqa non-depolarizing.

Taas oo ay jirto daroogo ku ool ah oo la farsamo la mid ah garoomada?

Oo macnaheedu yahay "Allaritmin" ka kooban walax la mid ah sida firfircoon daawo "VFS" - hydrobromide lappaconitine. medicament The loola jeedaa fasalka aan daawooyinka antiarrhythmic. "Allaritmin" Daawada waxaa laga heli karaa qaab kiniin ah iyo sida xal la isku duro muruqa ama xididka. Marka afka laga qaato, saamaynta medicament dhacdaa oo ku saabsan hal saac. 4-5 saacadood ka dib, gaadho hufnaan ah ugu badnaan. Duration of saamayn - 8 saacadood ama in ka badan. hordhaca ah ee saamayn aan daroogada si degdeg ah dhacdaa - 15-20 daqiiqo gudahood. Si ka duwan medicament "VFS" waxaa loola jeedaa "Allaritmin" talinayaa cabitaan 3 jeer maalin kasta 25 mg. Qaado daawada waa in cunidda ka hor. Kiniiniga burburin suurad wacan. In case of la'aanta oggolyahay kordhin kara qiyaasta iyo inta jeer ee soo dhaweynta. Maamulka xididka waxaa lagu fuliyaa si tartiib ah, in ka badan 5 daqiiqo. Qiyaasta sidaas dhigay sida uu miisaanka bukaanka. Talinayo by 0.3-0.4 mg / kg. Xaaladaha qaarkood (gaar ahaan daran) daroogada si joogta ah ay maamusho in ka badan 6 saacadood. In muruqa maamulo 0.4 mg / kg dura 6 saacadood. Waxaa la xusay in maamulka xididka laguma talinayo in la fuliyo guriga. Drug "Allaritmin" ayaa xayiraad la mid ah oo ku saabsan isticmaalka sida dawo "VFS". Daaweynta waxaa lagu fuliyaa ee isbitaalka iyada oo ay kormeerayaan joogta ah dhakhtar iyo la socodka ECG. Tani waxay si gaar ah muhiim in daaweynta bukaannada qaba ugu horeysay degree block atrioventricular, wadnaha oo shaqadiisa gaba, nooca koorsada chronic decompensated.

gunaanad

Oo macnaheedu yahay "VFS", isticmaalka kaas oo waa in si adag loo xakameeyo, sida antiarrhythmics kale, iska category ee daroogada awood. Maqnaanshaha saamaynta ku daweynta waa in aan la kordhiyo gaar ah marka la qaadanayo qiyaasta laguu qoray ee takhasus u leh. Tan waxa u sabab xaqiiqada ah in ay jirto khatar ah sarkhaan iyo dhibaatooyinka ku xiga. Ka hor inta aadan u yeelaan daroogada ah, dhakhtarku waa in bukaanka ka warqabaan dhibaatooyinka suurtagalka ah iyo sababo. Taa baddalkeeda, bukaanka sheegayaa saabsan joogitaanka dulqaad, oo ay ku jiraan taariikhda, warbaahinta kasta, iyo sidoo kale daawooyinka in ay qaadato dheeraad ah. Ka hor inta aad qaadanaysid dawadan waa in laga fekeraa annotation.